病例系列：直肠异物取出术
Case Series: Removal of Rectal Foreign Bodies.
作者信息
Khan Sharjeel, Khan Sadia, Chalgari Tariq, Akhtar Riaz, Asad Malak, Kumar Besham
机构信息
General Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Internal Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.
出版信息
Cureus. 2021 Feb 8;13(2):e13234. doi: 10.7759/cureus.13234.
INTRODUCTION
Foreign rectal body is one of the less common presentations in the emergency department and has a variety of etiologies. Our aim is to study the mode of injury, clinical presentation, diagnosis, surgical intervention and outcomes associated with a rectal foreign body.
METHODS
This cross-sectional case series was conducted from January 2019 to July 2019 in the surgical unit of a tertiary care teaching hospital in Pakistan. Mode of injury was classified as voluntary - for sexual gratification, involuntary ingestion, assault and fall. We also noted the presenting complaint, diagnosis, surgical intervention and outcome of the case.
RESULTS
Foreign body in the rectum was more common in men (86.3%) than women (13.7%). The mean age of participants was 40 ± 15 years. Various causes include sexual gratification (45.4%), involuntary ingestion (27.2%), assault (22.7%) and history of fall (4.5%). Participants were diagnosed with sub-acute intestinal obstruction (59%), peritonitis (22.7%) and perianal injury (36.3%).
CONCLUSION
Sexual gratification was the most common reason for the retained rectum body. Timely diagnosis and management are required to prevent perforation and improve prognosis.
引言
直肠异物是急诊科较少见的病症之一，病因多样。我们的目的是研究直肠异物的损伤方式、临床表现、诊断、手术干预及相关预后情况。
方法
本横断面病例系列研究于2019年1月至2019年7月在巴基斯坦一家三级护理教学医院的外科进行。损伤方式分为自愿性（为获得性满足）、非自愿吞食、袭击和跌倒。我们还记录了病例的主诉、诊断、手术干预及预后情况。
结果
直肠异物在男性（86.3%）中比女性（13.7%）更常见。参与者的平均年龄为40±15岁。各种病因包括性满足（45.4%）、非自愿吞食（27.2%）、袭击（22.7%）和跌倒史（4.5%）。参与者被诊断为亚急性肠梗阻（59%）、腹膜炎（22.7%）和肛周损伤（36.3%）。
结论
性满足是直肠内留存异物最常见的原因。需要及时诊断和处理以防止穿孔并改善预后。
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